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PL-13-852 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-223139 Permit Number: PL-4-13-852 Scheduled Inspection Date: December 02,2014 Permit Type: Plumbing- Residential Inspector. Diaz, Osvaldo Inspection Type: Final Owner: HOLT,JAMES Work Classification: Pool - Private Job Address:361 NE 97 Street Miami Shores, FL 33138-0000 Phone Number Parcel Number 1132060135760 Project: <NONE> Contractor: SWIMMING POOLS OF FLORIDA INC Phone: (305)597-3950 Building Department Comments PLUMBING WORK FOR SWIMMING POOL Infractio Passed Comments CONSTRUCTION INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-189924. CANCELLED BY EDI ESTEVAN CONTRACTOR 305-597-3950 Failed SIC i Correction Needed r Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. December 01,2014 For Inspections please call: (305)762-4949 Page 12 of 36 -rjL .-'M Miami Shores Village 4 �_ Building Department -.e._ r�s`o ove____>e__----- 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 FBC 20 BUILDING Permit No. _ �- PERMIT APPLICATION Master Permit No. Permit Type: PLUMBING JOB ADDRESS• " (P I � C qS+ City: Miami Shores County: Miami Dade Zip: 32) Folio/Parcel#: ]1_- (�_ cc) Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder): �RYY1�� I Phone#: Address: City: State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: 6VQr-1sJ`P—ho-ne-#: 2®T 3D 2)gso Address: City: y State: Zip: Qualifier Name: O•`(7� 1 e`,[ V c e Phone#: 2)0 S sjq--� -�5q�0 State Certification or Registration#: Certificate of Competency#: Contact Phone#: Ios 5� -�>Cis-o Email Address: LEY) S l 0 !S DESIGNER: Architect/Engineer: Phone#: e� Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑Address ❑Alterat' n Iiew ❑Repair/Replace ❑Demolition Description of Work: wl CAJ �41 YY-) Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ n TOTAL FEE NOW DUE$ V J Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING, SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be ro d and a reinspection fee will be charged. Signature Signature O er or Agent Cqntractor The foregoing in trument was acknowledged beforee this The foregoing ins rument was acknowle ged before e tl is)-L day of ,20 Lby a ra, S day of 20 3 by GlV? , yine who is personally known to me or who has produce V SP who is personally known to me or who has produced—Q Co 0 Q e As identification and who did take an oath. s identification and who did take an oath. NOTARY ��,,, . NOTA o7� 41v,Sign: = • ct Lq eq ft Sign: '.,,oFF Print: x e r Print: t FF�� 16 My Commission Expires: 6938 My Commission Expires: 8838 APPROVED BY 40 41�Plans Examiner Zoning Structural Review Clerk (Revised3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Miami Shores Villa � C E Building Departme t APR 17 2014 10050 N.E.2nd Avenue,Miami Shores,Florida 33 38 Tel: (305)795.2204 Fax: (305)756.8972o. INSPECTION'S PHONE NUMBER: (305)762.4949 FBC 20 BUILDING Permit No.r 1. , PERMIT APPLICATION Master Permit 1-f 3- Permit Type: PLUMBING JOB ADDRESS: vb I / � 5-76j4— City: Miami Shores /� County: Miami Dade Zip: 33 09 Folio/Parcel#: yl —13 5 oo -or3r J760 Is the Building Historically Designated: Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder): j PrZ6 A�yr Phone#: Address: -�2 61 •.me- g7s+ City: mlwoi' �`?dY�S State: fy Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: 4 M1-n h'1;rL5 Pd 'Q�A Phone#: Address:. City: AICA hf State: 13 Zip: Qualifier Name: /gPLnUP/ kr h&.P . Phone#: _56,5_56,5-'sq7' -8 State Certification or Registration#: G I Q G? Y S ertificate of Competency#: Contact Phone#: 61_7—347SO Email Address: �5R2�1•GO rn DESIGNER: Architect/Engineer: AiY4vh.°© C.QQ-PJe4."_S P'C • Phone#: 3&5y ;6i' ?i j Value of Work for this Permit:$ <�� Square/Linear Footage of Work: Type of Work: L3 Address ❑Alteration New ❑Repair/Replace ❑Demolition Description of Work: (),0` l iDk Submittal Fee$ Permit Fee$ 2 L S CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING, SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:' Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the abs n e of such posted notice, the inspection will not be approved d a reinspection fee will be charged. Signature Signature Owner o Agent ntracto hisdaThe fore ping in trument was acknowledged be ueV The foregoing instrument was acknowledged before me this—CA— day y of ,20 by'---,Qday of ,20�by (�.Yi who personally known to me or who has produced whs personally known to me or who has produced P As identification and who did take an oath. C Q VS°e as identification and who did take an oath. NOTAR L NOTARY PUB Sign: Sign: Print• o l@.l ;AEZ Print: a �� My Commission E y{r�' ' Notary Public-State o 3:' gNGELq BgE1 '- My Comm.Expires Mar 7,2016 My CoN n :Not ary Public-State of OF F� °� Commission #EE 176938 ��,oF" o�.' My Comm.EX le Florida ,��,� Commission'#EE 176MaT 82016 �x��x�:xa�a�a�x�X:a�X:xxx::x�xx�a�X:x�a��xX:x:xux:xx:xx:xs:X:a�x�xxa�xxa�xx:x:xa:x:a�x:xx�:x>k�a��x��xxxxx::xxxX: x ��:a��x xxxx APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)